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Type A Behavior and Cardiovascular Disease

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Handbook of Psychocardiology

Abstract

The type A behavior pattern (TABP) showed immense success in predicting coronary heart disease (CHD) incidence for three decades, from the 1960s onward, and was considered a strong and independent risk factor for CHD development. The TABP, or behavior classifications closely related to this pattern, are still used both in practice and in research settings, for this purpose. But due to a number of negative findings and critical commentaries on the relation between type A behavior pattern and CHD from the middle of the 1980s and few positive findings in the same period of time, researchers and practitioners have questioned whether the TABP’s predictability of future CHD development was really quite so well established. This chapter describes the early history of TABP and also scrutinizes the related concept of type A personality, which became the concept to describe what was the underlying personality of TABP. It sums up the research history for the TABP construct by starting with a number of reviews and meta-analyses on the concept from the late 1980s and until now. The chapter is based on a close examination of the research on TABP involving extensive literature searches conducted in 2003, 2010, and 2013 using PubMed, MEDLINE and PsycINFO, and the search term “type behavior and CVD.” While the volume of evidence has declined over time, recent work suggests a continuing utility for the construct.

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Authors and Affiliations

  1. Center for Health Promotion Research, Department of Social Work and Health Science, Norwegian University of Science and Technology (NTNU), NO 7491, Trondheim, Norway

    Geir Arild Espnes

  2. Australian National University, Canberra, ACT, Australia

    Geir Arild Espnes

  3. ANU Medical School, College of Medicine Biology and Environment, Australian National University, Acton, Canberra, ACT, Australia

    Don Byrne

  4. ANU Medical School, Research School of Psychology, Australian National University, Acton, Canberra, ACT, Australia

    Don Byrne

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  1. Geir Arild Espnes
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Correspondence to Geir Arild Espnes .

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Editors and Affiliations

  1. Monash Cardiovascular Research Centre, Monash University, Melbourne, Victoria, Australia

    Marlies E. Alvarenga

  2. ANU Medical School, Australia National University, Canberra, Aust Capital Terr, Australia

    Don Byrne

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A Dedication

It is with both affection and humility that we dedicate this chapter to Dr. Ray H Rosenman, the co-originator of the type A construct, who passed away on 20 May 2013. Ray was a good friend and a generous mentor to many of us then working in the field of Psychocardiology. His profound and original clinical insight in recognizing in his patients what subsequently became known as type A behavior and his outstanding scientific skill in turning this astute clinical observation into an operational definition capable of objective measurement gave rise to one of the undisputed research landmarks in the area. He will be remembered by so many with respect, admiration, and appreciation.

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Espnes, G.A., Byrne, D. (2016). Type A Behavior and Cardiovascular Disease. In: Alvarenga, M., Byrne, D. (eds) Handbook of Psychocardiology. Springer, Singapore. https://doi.org/10.1007/978-981-287-206-7_30

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